Stuart Paine Michelson MD

NPI 1003813882 - Emergency Medicine - 207P00000X

NPI Details
NPI 1003813882
Gender Male
Enumeration Date 07/07/2005
Last Updated 09/20/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
155 HWY 50
STATELINE NV, 89449, US
Phone (775) 589-8900
Fax (775) 588-7110
Business Location
1111 EMERALD BAY RD
SOUTH LAKE TAHOE CA, 96150-6207, US
Phone (530) 543-5659
Fax (530) 541-8723
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number G83056
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According to our database, Dr. Stuart Paine Michelson MD NPI is 1003813882, taxonomy code is 207P00000X and license number is G83056, license state is located at California. Stuart Paine Michelson MD physically located at 155 Hwy 50, Stateline NV, 89449. NPI Number Stuart Paine Michelson MD has the Individual type.

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1003813882 NPI number is provided on an as is basis without warranty of any kind. 1003813882 is maintained by the National Plan & Provider Enumeration System. The contents of Stuart Paine Michelson MD are for informational purposes only.